Impact of a comprehensive prevention programme aimed at reducing incivility and verbal violence against healthcare workers in a French ophthalmic emergency department: an interrupted time-series study.

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State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_82D85A157DEF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of a comprehensive prevention programme aimed at reducing incivility and verbal violence against healthcare workers in a French ophthalmic emergency department: an interrupted time-series study.
Journal
BMJ open
Author(s)
Touzet S., Occelli P., Denis A., Cornut P.L., Fassier J.B., Le Pogam M.A., Duclos A., Burillon C.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Publication state
Published
Issued date
05/09/2019
Peer-reviewed
Oui
Volume
9
Number
9
Pages
e031054
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Primary prevention, comprising patient-oriented and environmental interventions, is considered to be one of the best ways to reduce violence in the emergency department (ED). We assessed the impact of a comprehensive prevention programme aimed at preventing incivility and verbal violence against healthcare professionals working in the ophthalmology ED (OED) of a university hospital.
The programme was designed to address long waiting times and lack of information. It combined a computerised triage algorithm linked to a waiting room patient call system, signage to assist patients to navigate in the OED, educational messages broadcast in the waiting room, presence of a mediator and video surveillance.
All patients admitted to the OED and those accompanying them.
Single-centre prospective interrupted time-series study conducted over 18 months.
Violent acts self-reported by healthcare workers committed by patients or those accompanying them against healthcare workers.
Waiting time and length of stay.
There were a total of 22 107 admissions, including 272 (1.4%) with at least one act of violence reported by the healthcare workers. Almost all acts of violence were incivility or verbal harassment. The rate of violence significantly decreased from the pre-intervention to the intervention period (24.8, 95% CI 20.0 to 29.5, to 9.5, 95% CI 8.0 to 10.9, acts per 1000 admissions, p<0.001). An immediate 53% decrease in the violence rate (incidence rate ratio=0.47, 95% CI 0.27 to 0.82, p=0.0121) was observed in the first month of the intervention period, after implementation of the triage algorithm.
A comprehensive prevention programme targeting patients and environment can reduce self-reported incivility and verbal violence against healthcare workers in an OED.
NCT02015884.
Keywords
health services research, healthcare workers, time-series study, violence
Pubmed
Web of science
Open Access
Yes
Create date
17/09/2019 17:07
Last modification date
26/10/2020 8:12
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